| NPI | 1336136035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L SULLIVAN Administrator 410-788-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |